MEDICARE: MINDFULNESS SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1710869508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDFULNESS SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	15644 W CHICAGO ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48228-2138
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15644 W CHICAGO ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48228-2138
Country	:	US
Telephone Number	:	515-554-1328
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LEAZHANE LEACHMON
Credential	:
Telephone Number	:	515-554-1328

Provider Enumeration Date	:	07/22/2025
Last Update Date	:	07/22/2025

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Directions to “MINDFULNESS SOLUTIONS LLC ” Practice Location

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